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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
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Endoscopic Studies II: Thoracocentesis01:26

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Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
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Emergency Surgery during COVID-19: Lessons Learned.

Hemanga K Bhattacharjee1, Shafneed Chaliyadan1, Eshan Verma1

  • 1Department of Surgical Disciplines, All India Institute of Medical Sciences (AIIMS), New Delhi, India.

Surgery Journal (New York, N.Y.)
|October 26, 2020
PubMed
Summary
This summary is machine-generated.

During the COVID-19 pandemic, two patients with acute abdomen symptoms underwent emergency surgery. Protocols included full personal protective equipment and specialized surgical techniques to minimize aerosolization, ensuring patient and staff safety.

Keywords:
COVID-19emergency surgical proceduresoperation roompersonal protective equipment

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Area of Science:

  • Surgery
  • Infectious Diseases
  • Public Health

Background:

  • The COVID-19 pandemic significantly impacted global health services, posing unique challenges for managing surgical emergencies.
  • Limited diagnostic capabilities during the lockdown necessitated a proactive approach to patient care.

Observation:

  • Two patients presenting with acute abdomen (perforation peritonitis and sigmoid volvulus) had symptoms suggestive of COVID-19.
  • Emergency exploratory laparotomies were performed on these patients under the assumption of COVID-19 positivity.

Findings:

  • Surgical teams utilized full personal protective equipment (PPE) and employed techniques like stapler use for resection and avoiding electrosurgery to prevent viral aerosolization.
  • Both patients, initially suspected of having COVID-19, subsequently tested negative and were discharged in stable condition.

Implications:

  • Adapting surgical practices and implementing stringent safety protocols are crucial for safely managing emergency surgical cases during pandemics.
  • Preparedness and adherence to precautionary measures are paramount for healthcare providers in high-risk environments.